Countryside Home

LBN: Countryside Home
Countryside Home is an health care organization with primary practice located at 703 N Main St , Madison NE 68748-6009. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Countryside Home can be contacted via phone (402) 454-3373, or through Anderson, Linda via phone (402) 454-3373.

Contact Information

Primary practice address
703 N Main St Madison NE 68748-6009
Phone: (402) 454-3373
Fax: (402) 454-6509
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Linda ADMINISTRATOR
Phone: (402) 454-3373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Nebraska

Profile Details

NPI number 1902881022
LBN Legal business name Countryside Home
DBA Doing business as
Authorized official Anderson, Linda ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902881022 NPPES
Nebraska Other 0637150001 MEDICARE DME

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